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CBR Gift Relinquishment of Rights

, hereby gift, give, grant and assign full and complete title, interest and/or ownership in the following described dog to the Chesapeake Bay Retriever Relief & Rescue organization.

Date: April 16, 2024

Name of Dog:

Purebred CBR: , If no, what is mix?

Age: , Birthdate: ,

Gender: ,

Spayed / Neutered:

Breeder: , Tag ID:

I / we fully understand that by executing this document and delivering the above described dog to (CBBR&R representative name) , that I relinquish any and all legal and ownership rights of the above described dog to Chesapeake Bay Retriever Relief & Rescue.

I understand this decision can not be rescinded after five (5) working days as of this date (April 16, 2024).

To rescind my decision obligates me to reimburse all boarding, grooming & veterinary expenses incurred by CBR Relief & Rescue or its representatives.

(I / we) represent that (I / we) are the lawful owner(s) of, and have good title to and the right and power to gift, sell, assign, transfer, convey and deliver said dog; and that said dog is free and clear from claims of ownership or other encumbrances of any kind or nature whatsoever by any person or entity; and that (I / we) will warrant and defend unencumbered ownership rights to said dog hereby gifted, given, and delivered against the claims and demands of all persons; and that (I / we) attest to said dog being surrendered has no known aggression or bite history.

Owners Name(s):

Current Address:

Owners Phone: , Mobile:

Owners Email:

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Timestamp

Audit

August 8, 2019 2:27 pm EDT

CBR Gift Relinquishment of Rights Uploaded by CBR Admin - [email protected] IP 50.35.12.98

August 9, 2019 10:32 am EDT

eSig Group - [email protected] added by CBR Admin - [email protected] as a CC'd Recipient Ip: 108.52.189.159

August 9, 2019 1:22 pm EDT

eSig Group - [email protected] added by CBR Admin - [email protected] as a CC'd Recipient Ip: 108.52.189.159

August 9, 2019 1:33 pm EDT

eSig Group - [email protected] added by CBR Admin - [email protected] as a CC'd Recipient Ip: 108.52.189.159

September 1, 2019 8:11 am EDT

eSig Group - [email protected] added by CBR Admin - [email protected] as a CC'd Recipient Ip: 174.201.17.238

September 6, 2019 2:37 pm EDT

eSig Group - [email protected] added by CBR Admin - [email protected] as a CC'd Recipient Ip: 108.52.189.159

September 2, 2020 8:09 pm EDT

eSig Group - [email protected] added by CBR Admin - [email protected] as a CC'd Recipient Ip: 173.59.126.119

September 2, 2020 10:49 pm EDT

eSig Group - [email protected] added by CBR Admin - [email protected] as a CC'd Recipient Ip: 173.59.126.119

September 2, 2020 10:50 pm EDT

eSig Group - [email protected] added by CBR Admin - [email protected] as a CC'd Recipient Ip: 173.59.126.119